340B Drug Pricing Program Database

Pharmacy Name

WALGREEN EASTERN CO., INC

Pharmacy Address

RITE AID #04805
2463 US ROUTE 9W
RAVENA, NY 12143

Pharmacy Comments

Approval Date

1/11/2019

Contract Begin Date

4/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/4/2019
Pharmacy closed

Covered Entity Signing Official

FERDINAND J. VENDITTI, EXECUTIVE VP FOR SYSTEM CARE DELIVERY
(518) 262-5376

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

1/11/2019